| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.72 | $63.71 | $77.81 | |
Anthem BCBS
| Professional | $49.31 | $64.29 | $80.64 | |
Cigna
| Professional | $52.06 | $57.73 | $63.61 | |
Hometown Health
| Professional | $0.75 | $65.68 | $86.47 | |
Hometown Health
| Facility | $177.57 | $177.57 | $177.57 | |
Hometown Health
| Professional | $54.73 | $59.49 | $62.40 | |
United
| Professional | $53.46 | $73.23 | $129.88 |